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    <title>体检表</title>
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    <div class="content">
      <div class="main">
        <div class="title">体检表</div>
        <div class="info">
          <div>筛查编号:463543</div>
          <div>身份证号:2463</div>
          <div>姓名:xxx</div>
          <div>年龄:321</div>
          <div>体检日期:321332</div>
        </div>
        <table>
          <tr>
            <th colspan="8">人群分类(可多选)</th>
          </tr>
          <tr>
            <td colspan="2">活动性肺结核密切接触者</td>
            <td class="trs">☑</td>
            <td rowspan="2">老年人</td>
            <td class="trs" rowspan="2">☑</td>
            <td colspan="2">HIV/AIDS</td>
            <td class="trs">☑</td>
          </tr>
          <tr>
            <td rowspan="4">在校师生</td>
            <td>0-5岁学生</td>
            <td class="trs">□</td>
            <td colspan="2">既往结核病患者</td>
            <td class="trs">☑</td>
          </tr>
          <tr>
            <td>6-14岁学生</td>
            <td class="trs">□</td>
            <td rowspan="3">糖尿病患者</td>
            <td class="trs" rowspan="3">□</td>
            <td rowspan="3">非重点人群</td>
            <td>0-5岁</td>
            <td class="trs">□</td>
          </tr>
          <tr>
            <td>≥15岁学生</td>
            <td class="trs">□</td>
            <td>6-14岁</td>
            <td class="trs">□</td>
          </tr>
          <tr>
            <td>教职工</td>
            <td class="trs">□</td>
            <td>≥15岁</td>
            <td class="trs">□</td>
          </tr>
        </table>
        <table style="margin-top: 5px">
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            <td class="text">
              <b>活动性肺结核密切接触者:</b>
              症状筛查+ppd+胸片检查,异常或强阳性进行实验室检查。<br />
              <b>0-5岁学生:</b>症状筛查,有症状做 ppd,强阳性进一步检查;
              <b>6-14岁学生:</b> 症状查+ppd,有症状或强 阳性进一步检查;
              <b>≥15岁学生:</b> 症状筛
              査+ppd+胸片检查,有症状或强阳性或异常进一步检查;<br />
              <b>教职工:</b> 症状筛 查+胸片检查,有症状或异常进一步检查。<br />
              <b>老年人、糖尿病患者、HIV/AIDS和既往结核病患者:</b>
              症状筛査+胸片检查,有症状或异常进一步检查。<br />
              <b>0-5岁非重点人群:</b>症状筛查,有症状做ppd,强阳性进一步检查;
              <b>6-14岁非重点人群:</b> 症状筛查+ppd,有症状或强阳性进一步检查;
              <b>≥15岁非重点人群:</b> 症状筛查+胸片检查,有症状或异常进一步检查,
            </td>
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        </table>
        <table style="margin-top: 5px">
          <tr>
            <th class="text" colspan="5">您最近1个月是否有一下症状?</th>
          </tr>
          <tr>
            <td class="text-left" colspan="2">1)咳嗽、咳痰(超过2周)</td>
            <td>有</td>
            <td class="text-left">2)咳血或血痰</td>
            <td>有</td>
          </tr>
          <tr>
            <td class="text-left" colspan="2">3)发热</td>
            <td>有</td>
            <td class="text-left">4)胸痛</td>
            <td>有</td>
          </tr>
          <tr>
            <td class="text-left" colspan="2">5)乏力、盗汗</td>
            <td>有</td>
            <td class="text-left">6)食欲不振</td>
            <td>有</td>
          </tr>
          <tr>
            <td class="text-left" colspan="2">7)体重减轻(超过6斤)</td>
            <td>有</td>
            <td></td>
            <td></td>
          </tr>
          <tr>
            <td class="trs">☑</td>
            <td><b>ppd</b></td>
            <td class="text-left" colspan="2">
              注射时间:2413 <br />
              结果:阴性
            </td>
            <td class="text-left">医生签名:</td>
          </tr>
          <tr>
            <td class="trs">☑</td>
            <td><b>胸部X线</b></td>
            <td class="text-left" colspan="2">
              <div style="float: left; transform: scale(1.5)">☑</div>
              <div style="float: left; margin: 0 5px">无结核相关异常</div>
              <div style="float: left; transform: scale(1.5); margin: 0 5px">
                ☑
              </div>
              <div style="float: left">疑似结核</div>
              <br />

              <div>机器中与患者对应的编码:786465-1</div>
            </td>
            <td class="text-left">医生签名:</td>
          </tr>
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